Our Summary
This research paper is about a study done on the quality of meta-analyses (studies of studies) in plastic surgery. The researchers looked at meta-analyses published in seven plastic surgery journals from 2007 to 2017. They found that the number of these types of studies has increased over time, with most of them assessing a single intervention and involving around 20 other studies on average.
The researchers also found that most of these meta-analyses were published in the journal Plastic and Reconstructive Surgery and that only about 16% of them included randomized controlled trials (the gold standard in research). They also found that these studies usually reported positive and significant results.
The quality of the meta-analyses was assessed using two tools (AMSTAR and AMSTAR 2), and it was found that the quality was fairly good but could be improved. Interestingly, the quality seemed to be better in more recent studies that provided a good reason for combining the results of different studies and managed differences in study methods well.
However, the researchers warned that these meta-analyses could be biased due to the low quality of the studies they included and the differences between those studies. They advised plastic surgeons to be careful when conducting and interpreting these types of studies.
FAQs
- What was the main finding of the research study on meta-analyses in plastic surgery?
- How was the quality of the meta-analyses evaluated in this study?
- What caution did the researchers advise to plastic surgeons regarding these types of studies?
Doctor’s Tip
A doctor might advise a patient considering reconstructive surgery to thoroughly research the procedure, the surgeon, and the potential risks and benefits involved. It is important for patients to have realistic expectations about the outcomes of reconstructive surgery and to communicate openly with their surgeon about their goals and concerns. Additionally, patients should follow their surgeon’s post-operative instructions carefully to ensure a successful recovery.
Suitable For
Reconstructive surgery is typically recommended for patients who have experienced trauma, injury, or have congenital abnormalities that affect their appearance or function. Some common types of patients who may benefit from reconstructive surgery include:
Patients with congenital abnormalities: This includes conditions such as cleft lip and palate, craniosynostosis, and syndactyly. Reconstructive surgery can help improve the appearance and function of affected areas.
Patients who have undergone cancer treatment: Individuals who have undergone surgery, radiation therapy, or chemotherapy for cancer may require reconstructive surgery to restore the appearance of the affected area, such as after a mastectomy for breast cancer.
Patients with traumatic injuries: Reconstructive surgery can help restore function and appearance in patients who have suffered injuries such as burns, fractures, or lacerations.
Patients with deformities: This includes patients with facial deformities, hand deformities, or limb deformities that may benefit from reconstructive surgery to improve their quality of life.
Patients with scarring: Reconstructive surgery can help improve the appearance of scars from injuries, surgeries, or burns.
Overall, reconstructive surgery is recommended for patients who have physical abnormalities or injuries that can be improved through surgical intervention. It is important for patients to consult with a qualified plastic surgeon to determine if they are a suitable candidate for reconstructive surgery and to discuss the potential risks and benefits of the procedure.
Timeline
Before reconstructive surgery:
- Patient consults with a plastic surgeon to discuss their goals and options for reconstruction.
- Patient undergoes a thorough physical examination and medical history review to determine candidacy for surgery.
- Patient may undergo imaging tests or other diagnostic procedures to assess the area to be reconstructed.
- Surgical plan is developed, including the type of reconstruction, surgical technique, and potential risks and benefits.
- Patient may need to undergo pre-operative testing or medical clearance before surgery.
After reconstructive surgery:
- Patient is closely monitored in the immediate post-operative period for any complications.
- Patient may need to stay in the hospital for a period of time depending on the complexity of the surgery.
- Patient will follow a post-operative care plan, including wound care, pain management, and activity restrictions.
- Patient will have follow-up appointments with the surgeon to monitor healing and address any concerns.
- Over time, the patient will see improvements in the appearance and function of the reconstructed area, with final results becoming more apparent as swelling and bruising subside.
What to Ask Your Doctor
- What specific reconstructive surgery procedure do you recommend for my condition?
- What are the potential risks and complications associated with the surgery?
- What is the expected recovery time and post-operative care for this procedure?
- Are there alternative treatment options available besides surgery?
- How many times have you performed this particular surgery, and what is your success rate?
- Can you provide me with before and after photos of previous patients who have undergone the same procedure?
- Will I need to undergo any additional procedures or treatments in the future following this surgery?
- What are the long-term effects and potential outcomes of this reconstructive surgery?
- Do you recommend any specific lifestyle changes or precautions to take before and after the surgery?
- Are there any specific questions or concerns I should discuss with other members of your medical team (e.g., anesthesiologist, physical therapist) before proceeding with the surgery?
Reference
Authors: McGuire C, Samargandi OA, Corkum J, Retrouvey H, Bezuhly M. Journal: Plast Reconstr Surg. 2019 Aug;144(2):519-530. doi: 10.1097/PRS.0000000000005880. PMID: 31348375